Alicia M Durham, MFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2012-004 Issued in KY

Practice address

3900 Riveroaks LN
Louisville, KY 40241

Phone

(502) 322-6456

NPI assigned

May 6, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1255741781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 RIVEROAKS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412031",
            "telephone_number": "502-322-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 RIVEROAKS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40241",
            "telephone_number": "502-322-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "ALICIA",
        "middle_name": "M",
        "credential": "MFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "2012-004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina White Durbin, PT
• Kelsey Durchholz, M.S., CCC-SLP
• Maggie Michelle Durci, MD
• Paula M Durdach, LMFT
• Geoffrey Durham-Smith, M.D.
• Angela Clark Durham, M.D.
• Candace Durham, MSW, CSW
• Charlene Michele Durham, APRN
• Hayley Kendall Durham, APRN
• Sarah E Durham

• Marriage & Family Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.